DISCRETIONARY GRANT APPLICATION 2017/18 NAME OF MUNICIPALIT/ENTITY SDL NUMBER POSTAL ADDRESS PHYSICAL ADDRESS CONTACT PERSON DESIGNATION TEL NO EMAIL FAX NO Target provinces (give learner breakdown in numbers) PROVINCE GP MP LIM NW NC WC EC FS KZN Employed Unemployed Have you appointed a Skills Development Facilitator (SDF)? Yes No N/A Name and Surname of SDF Telephone number of SDF E-mail of SDF Please tick (x) Have you submitted a Workplace Skills Plan and Annual Training Report? Do you confirm that the learners applied for are not participating in any other skills development project funded by another public institution Yes No N/A Do you agree to work place vetting by the LGSETA Yes No Do you confirm that you are willing and able to meet the precontracting requirements on the stipulated due date? Which will include but not limited to: Learner recruitment and selection; Complete and finalize learner registration documentation and submit to the LGSETA on/before the due date Yes Yes No No
PIVOTAL PROGRAMMES (Please indicate applicable learning programmes from the list below) NO OCCUPATION/SPECIALIZATION SAQA ID NUMBER NQF LEVEL NUMBER OF BENEFICIARIES 18 (1) 18 (2) 1. Disaster Management/Coordinator/Officer 2. Water Plant Operator/Water Reticulation/Water Management Generic Management: Disaster Risk Management National Certificate: Generic Management: Disaster Risk Management National Certificate: Water and Wastewater Treatment Process Operations National Certificate: Water and Wastewater Process Control FETC: Water and Wastewater Treatment Process Control Supervision Water and Wastewater Reticulation Services Water and Wastewater Reticulation Services 64390 5 64870 4 58951 2 60190 3 61709 4 60169 2 60155 3 FETC: Wastewater and Water Reticulation Services 60189 4 3. Finance Manager/ Internal Audit Manager/Management Accountant/Credit Manager/Supply Chain Practitioners/Contract Administrators/Financial Accountant/Risk Officer Community Water Health and Sanitation Plumbing Municipal Finance Management Development Programme 61669 4 58782 4 Local Government Accounting Certificate 59571 3 Local Government Advance Accounting Certificate 73712 4 Credit Management 57901 Risk Management Learner programme 4. Local Economic Development Practitioners 5. Construction Project Management/Project Management/Road Construction National Certificate: Local Economic Development National Certificate: Community House Building Further Education and Training: Supervision of Construction Processes National Certificate: Supervision of Civil Engineering Construction Processes: Road Works Project Management 36437 6 24273 2 65949 4 23674 4 50080 4 National Certificate: Project Management 58395 5 6. Fire and Rescue Operations National Certificate: Emergency Services Supervision: Fire and Rescue Operations 64390 5 D i s c r e t i o n a r y G r a n t A p p l i c a t i o n 2 0 1 7 / 1 8 P a g e 2
Fire and Rescue Operations 57803 4 7. Environmental Management National Certificate: Environmental Practice 49752 3 Environmental Practice 8. Municipal Governance/Planning National Certificate: Municipal Integrated Development Planning 50309 4 50205 4 National Certificate: Municipal Governance 67467 5 9. SDF qualifications FETC: OD ETDP 50332 4 NC: OD ETDP 50334 5 ND: OD ETDP 50333 5 NC: OD ETDP 50331 6 10. Transport Management National Certificate: Road Transport 48437 3 Road Transport Management in the Public Sector Road Traffic Law Enforcement: 49487 4 62289 4 11. Horticulture and Gardening National Certificate: Horticulture 66589 2 National Certificate: Landscaping 66649 3 National Certificate: Gardening and Horticulture 21024 4 12. ICT Specialist ICT related qualifications 13. AET Adult Education and Training (AET) Level 1-4 PRIORITY AREAS FOR BURSARIES 14. Civil Engineering National Diploma: Civil Engineering; BTech: Civil Engineering; Degree in Civil Engineering; Honours in Engineering Management, Professional Registration 15. Town Planning National Diploma: Town and Regional Planning; Degree: Town and Regional Planning; Professional Registration 16. GIS Specialist/Technician National Diploma: Cartography (GIS); Degree: Geoinformatics; Honours: Geoinformatics 17. Environmental Health National Diploma: Environmental Health; Degree: Environmental Science 18. Marine Engineer Degree: Mechanical Engineering 19. Internal Auditing Degree/Honours/Masters 20. Economics or Development Economics Degree/Honours/Masters D i s c r e t i o n a r y G r a n t A p p l i c a t i o n 2 0 1 7 / 1 8 P a g e 3
List the Learning Programmes if not include above Type of Learning Programme (e.g. Learnership/Apprenticeship) Title of Qualification (e.g. Municipal Finance and Administration) SAQA Registration No. NQF Level Number of potential learners 18.1 18.2 FOR SKILLS PROGRAMMES: (list of Unit Standards) Credits SAQA Registration No. NQF Level Number of learners applying for 18.1 18.2 INTERNSHIP/WIL/BURSARY SPECIALISATION Duration Number of learners applying for 18.1 18.2 D i s c r e t i o n a r y G r a n t A p p l i c a t i o n 2 0 1 7 / 1 8 P a g e 4
Details of identified training provider: TRAINING PROVIDER NAME QUALIFICATIONS ACCREDITED FOR (as indicated in application above) ACCREDITATION BODY/ETQA EXPIRY DATE OF ACCREDITATION D i s c r e t i o n a r y G r a n t A p p l i c a t i o n 2 0 1 7 / 1 8 P a g e 5
Disclaimer Grant allocations is based on the availability of discretionary funds, completeness of applications and meeting the deadline for submitting all required documentation by 31 May 2017. Requests for extension will therefore not be considered for this grant. LGSETA reserves the right not to make any awards, as well as the right to make allocations proportionately to ensure equitable distribution of funds and meeting the strategic skills development needs of the sector. Declaration by the Employer/Entity: This is to confirm acknowledgement of the disclaimer, that the information provided is accurate and that the application has been approved by the Council/Board/Accounting Authority. Full name: Position in Organisation: Date: Signature: D i s c r e t i o n a r y G r a n t A p p l i c a t i o n 2 0 1 7 / 1 8 P a g e 6
FOR FURTHER ENQUIRIES CONTACT THE LGSETA PROVINCIAL OFFICE Contact details Province Address Telephone Contact person Eastern Cape 11 Tecoma Street, Berea, 043-726 2404 Ms Linda Budaza East-London lindab@lgseta.org.za Free State 74 President Reitz Street, 051-448 2481 Mr Jerry Thothela Westdene, Bloemfontein jerryt@lgseta.org.za Gauteng 47 Van Buuren Street, 011-456 8579 Mr Thando Nogwaza Bedfordview, Johannesburg thandon@lgseta.org.za Kwa-Zulu Natal Office 2301, 3 rd floor, Embassy House, 199 Anton Lembede Street, Durban ziphom@lgseta.org.za 031-337 9085 031-337 9178 Mr Zipho Mazibuko Limpopo Mpumalanga 73 Biccard Street, Maneo Building, 1 st Floor, Polokwane margaretm@lgseta.org.za 536 Schoeman Street, Building Block A, 3 rd floor, Arcadia idanik@lgseta.org.za Northern Cape 10 Olliver Road, Block 3, Ground Floor, Left Wing, Montrio Corporate Park, Kimberley Thanduxolom@lgseta.org.za North West Western-Cape Office XX0109A, 2 nd Floor West End Shopping Centre, 51 Leask Street, Klerksdorp luxolom@lgseta.org.za 2nd Forrest House, Belmont Office Park, Rondebosch, Cape Town aneekaj@lgseta.org.za Mrs Margaret Marakalala 012-341 3326 Mrs Idani Kudzingana Mr Thanduxolo Moleli 018-462 1338 Mr Luxolo Mbina 021-686 7081 Mrs Aneeka Jacobs D i s c r e t i o n a r y G r a n t A p p l i c a t i o n 2 0 1 7 / 1 8 P a g e 7